An observational study of high air temperature on diabetes mortality in six cities in China.
10.3760/cma.j.issn.0254-6450.2018.05.020
- Author:
G J LUAN
1
;
P YIN
2
;
L J WANG
2
;
M G ZHOU
3
Author Information
1. Institute for Immunization Management, Shandong Provincial Center for Disease Control and Prevention, Jinan 250014, China.
2. Division of Vital Statistics and Death Surveillance, National Center for Chronic and Non-communicable Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
3. National Center for Chronic and Non-communicable Disease Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
- Publication Type:Observational Study
- Keywords:
Diabetes;
Distributed lag nonlinear model;
High air temperature;
Mortality
- MeSH:
Air Pollution;
Beijing/epidemiology*;
China/epidemiology*;
Cities;
Diabetes Mellitus/mortality*;
Female;
Fever;
Hot Temperature;
Humans;
Male;
Nonlinear Dynamics;
Risk;
Risk Factors;
Temperature;
Urban Population
- From:
Chinese Journal of Epidemiology
2018;39(5):646-650
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the effect of high air temperature on diabetes mortality in six cities in China. Methods: Daily diabetes mortality and meteorological data were collected from January 1, 2008 to December 31, 2013 in Beijing, Tianjin, Shanghai, Chongqing, Guangzhou, and Shenyang. Distributed lag nonlinear model was used to evaluate the association between high air temperature and diabetes mortality after controlling for the long-term trend and the effect of "day of week" . Results: The effect of high air temperature on diabetes mortality varied in different cities, the maximum cumulative relative risk of Beijing, Tianjin, Shanghai, Chongqing, Guangzhou and Shenyang were 1.37 (lag 2 days), 1.32 (lag 0 days), 1.40 (lag 0 days), 1.26 (lag 2 days), 1.48 (lag 2 days) and 1.67 (lag 3 days). The daily diabetes death numbers were similar in men and women, but the death number in women were slightly higher than that in men, no gender specific characteristics were found. The death number was highest in age group 65-84 years, accounting for >60% of the total deaths, the difference was significant. Conclusion: The mortality of diabetes increased obviously in the context of high air temperature environment.
